Hyunmin Yu, Daniela Golinelli, Matthew D McHugh, J Margo Brooks Carthon, Linda H Aiken
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引用次数: 0
Abstract
Objective: This study investigated the association of Pathway to Excellence® (Pathway) status with patient satisfaction.
Background: The Pathway program recognizes hospitals committed to fostering optimal practice environments, yet research on its impact on patient satisfaction is limited.
Methods: This cross-sectional study linked 3 datasets: the Hospital Consumer Assessment of Healthcare Providers and Systems, the American Nurses Credentialing Center® Pathway and Magnet® organizations, and the American Hospital Association Annual Survey. The primary analysis included 2721 non-Magnet hospitals (2588 without Pathway status, 133 with Pathway status). The secondary analysis included 606 hospitals (473 Magnet, 133 Pathway). Outcomes included hospital rating and willingness to recommend the hospital. Propensity score-weighted simple linear regression estimated outcome differences.
Results: Compared with hospitals without Pathway or Magnet status, Pathway hospitals had significantly higher patient ratings and recommendations. No significant differences were found between Pathway and Magnet hospitals for either patient satisfaction outcome.
Conclusions: Pathway designation and thus the journey to achieve this designation may be an effective strategy for improving patient satisfaction.
目的：本研究探讨Pathway to Excellence®（Pathway）状态与患者满意度的关系。背景：路径计划认可致力于培养最佳实践环境的医院，但其对患者满意度影响的研究有限。方法：本横断面研究将3个数据集联系起来：医院消费者对医疗保健提供者和系统的评估，美国护士资格认证中心®途径和磁铁®组织，以及美国医院协会年度调查。初步分析包括2721家非磁体医院（2588家没有Pathway状态，133家有Pathway状态）。二次分析包括606家医院（473家Magnet医院，133家Pathway医院）。结果包括医院评分和推荐医院的意愿。倾向评分加权简单线性回归估计结果差异。结果：与没有Pathway或Magnet状态的医院相比，Pathway医院的患者评分和推荐率明显更高。Pathway医院和Magnet医院在患者满意度方面均无显著差异。结论：路径的指定，从而实现这一指定的旅程可能是提高患者满意度的有效策略。
期刊介绍：
JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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